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Va medical records Form: What You Should Know

Veterans Affairs. The request is for non-public, non-disclosure/disclosure only. This must be in writing and must be made within  the time limit provided by VA. VA Form 10-5345v2 (2018, 12/12) The use of this form is subject to the following limitations: This form may be used only with an authorized electronic signature, or a signature other than the one listed on the VA Form 10-5345, provided that the signature is verified to be notarized. VA Form 10-5340 (2017, 3,948) What is the Purpose of the Form? The purpose of this form is to authorize the disclosure of your medical records to others by the  Secretary of Veterans Affairs, on the terms and conditions set forth on a temporary authorization request form, provided to the medical record custodian. VA Form 10-5345 (2018, 8,902) Disclosure of Medical Records to a Third Party: A physician or any other person designated by a physician that is acting under the physician's authority may use the information disclosed by this form to make a decision concerning your  health or to refer you for medical care. Disclosure of medical information to a third party is limited to any action that benefits that third party as determined through a reasonable exercise of due diligence. Re: Disclosure of Medical Records to a Third Party If you are receiving medical care from a physician or any other person designated by a physician that is  acting under the physician's authorization, you may receive the information shared with the doctor or other person through this VA Form 10-5345, provided to the medical record custodian. The physician or other person in charge of your care may use the information disclosed by this form to make  a decision concerning your health or to refer you for medical care, but only provided that the medical information is accurate and clear. If the physician or other person you are receiving care from makes a decision regarding your health and that decision is based on the information disclosed by this form, the form authorizes the Department of Veterans Affairs to share the excellent and reliable records. The Department of Veterans Affairs retains the records until the record is no longer needed to perform the purpose for which they were shared. When requesting information, you should understand your rights and what the records will do to your health.

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Video instructions and help with filling out and completing Va medical records

Instructions and Help about Va medical records

Hi everybody, it's Andy. Welcome again to my office in Los Altos, California. I'm an attorney licensed to practice law in California as well as New York. In today's video, we're going to talk about how to request medical records from the US Department of Veterans Affairs. Now, there are several reasons why you might want to do that. Number one could be that you are a veteran requesting medical records to prove a service-connected disability in some way. Another reason could be that you are a veteran who has received private medical insurance through your employer and you've gotten a new doctor who wants to know the history of medical treatment you've received up to that point. So, regardless of the actual reason why you want to request medical records, the procedure and process are the same. I'm going to go over the forms that you need and show you how to submit them. The submission process can be a little confusing, so I'm going to roll in a map. Hopefully, that will be more self-explanatory. The first point I have to go over, though, is that because we're talking about the Department of Veterans Affairs (the VA), we're not talking about active duty records. The VA records will be for veterans who were in the military, completed their time, got out, and then had to go get care from the VA as civilians. That's what this video is about. If you have a situation dealing with service-connected disability, where you might need to prove treatment while the veteran was in active duty, this video does not apply to you. This video covers post-discharge treatment only. If you need treatment records for when the veteran in question was active duty, the form you need is the Standard Form 180 (SF 180). I have...